Active NPI
Zakiya Fortune
- Doula
- Humble, TX
National Provider Identifier
1063120483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 20730 Fox Hound LN
Humble, TX 77338-1460 - Phone
- (346) 329-3417
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 56732 | TX | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
20730 Fox Hound LN
Humble, TX 77338-1460
Mailing address
9659 N Sam Houston Pkwy E Ste. 150, #108
Humble, TX 77396
Phone (346) 329-3417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56732 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1063120483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9659 N SAM HOUSTON PKWY E STE. 150, #108",
"city": "HUMBLE",
"state": "TX",
"postal_code": "77396",
"telephone_number": "346-329-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20730 FOX HOUND LN",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773381460",
"telephone_number": "346-329-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNE",
"first_name": "ZAKIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56732",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.